4VX-93452-52979
5 vaccinations
3 coded responses
53 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 923 / CA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: PainFree text: Headache last night, none todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-21
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-12
-
2021-11-22
Dose 3 — Moderna
-
2022-03-15
Survey response — 12 months, dose 2MedDRA: Dizziness, Emergency care, Headache, Hyperhidrosis, Nausea, Visual impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: On Nov 23, 2022, the day after my Covid booster, I woke up with a headache, nausea, and sweating. Shortly after, I felt lightheaded and experienced much diminished vision with all in a very bright white light. Thought I would faint. I went to ER. OKMedDRA releases: 2024-11 · check-in free text available
-
2022-03-15
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-03-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-06-03
Dose 4 — Moderna
-
2022-06-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness, NauseaAdult check-in
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-08
- 2022-06-09
- 2022-06-10
- 2022-06-17
- 2022-06-26
- 2022-07-01
- 2022-07-08
-
2022-07-15
Survey response — day 42, dose 4MedDRA: Arthralgia, Gait disturbance, Walking aid user — Feeling: Fair · Be unable to do your normal daily activitiesFree text: New left hip joint pain more intense than prior pains, at the joint, resulting in inability to walk without a walker or cane. Just as of yesterday. Hope to see a doctor tomorrow.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-02
-
2022-10-13
Dose 5 — Moderna
- 2022-10-13
-
2022-10-14
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-25
- 2023-01-12
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-06-03 | Moderna | No |
| 5 | 2022-10-13 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Headache last night, none today
Release 11 — 12 months, dose 2
Symptoms: On Nov 23, 2022, the day after my Covid booster, I woke up with a headache, nausea, and sweating. Shortly after, I felt lightheaded and experienced much diminished vision with all in a very bright white light. Thought I would faint. I went to ER. OK cut off by CDC
Release 12 — day 42, dose 4
Symptoms: New left hip joint pain more intense than prior pains, at the joint, resulting in inability to walk without a walker or cane. Just as of yesterday. Hope to see a doctor tomorrow.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SD | Walking aid user | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release